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Individual

MS. HEATHER A. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.S., BCBA

Contact information

Practice address
2008 GENERAL BOOTH BLVD STE B, VIRGINIA BEACH, VA 23454-5910
(757) 301-2411
Mailing address
2312 PLANTATION DR, VIRGINIA BEACH, VA 23454-2739
(757) 350-5504

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8691
222Q00000X
Developmental Therapist

Other

Enumeration date
11/03/2010
Last updated
10/04/2019
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